Charlemagne, Leila Teresita

Charlemagne, Leila Teresita is an individual health care provider with primary practice located at 3601 Federal Hwy , Miami FL 33137-3795. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Charlemagne, Leila Teresita can be contacted via phone (305) 567-6611.

Contact Information

Primary practice address
3601 Federal Hwy Miami FL 33137-3795
Phone: (305) 567-6611
Fax: (305) 576-0008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7299 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 7299 Florida

Profile Details

NPI number 1134177330
LBN Legal business name Charlemagne, Leila Teresita
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134177330 NPPES
Florida Other PY7299 LICENSE
Florida MEDICAID 768803200 LICENSE

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